| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $570.64 | $570.64 | $1,400.00 | |
CareSource
| Facility | $569.11 | $654.52 | $713.10 | |
Cigna
| Facility | $611.45 | $611.45 | $611.45 | |
Cigna
| Facility | AS | $59.20 | $59.20 | $59.20 |
Coronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $570.64 | $570.64 | $1,400.00 | |
CareSource
| Facility | $569.11 | $654.52 | $713.10 | |
Cigna
| Facility | $611.45 | $611.45 | $611.45 | |
Cigna
| Facility | AS | $59.20 | $59.20 | $59.20 |